NPI | 1700805686 |
---|---|
Professional Name | CHANNING HEAVENOR CREVELING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12781) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6881) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2020-10-10 |